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NPI Code Detail

MEDICARE: SPENCER D WOOLLEY PHARM.D.

MEDICARE:   SPENCER D WOOLLEY  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist49535TX
2183500000XPharmacist14522OR
3183500000XPharmacistRPH-0014522OR

General Provider Information

NPI Number : 1689971210
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER D WOOLLEY PHARM.D.
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : TOPPENISH
State : WA
Zip : 98948-0190
Country : US
Telephone Number : 509-865-2395
Fax Number :
Provider Business Practice Location Address
First Line : 255 LANCASTER DR NE
Second Line :
City : SALEM
State : OR
Zip : 97301-5155
Country : US
Telephone Number : 503-576-8340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2011
Last Update Date : 08/27/2025

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Directions to “ SPENCER D WOOLLEY PHARM.D.” Practice Location

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